New OR nurse... how can I get through this?

Specialties Operating Room

Published

Specializes in ICU & NICU.

Hello!

Took my Nclex Jan 30 & started my new grad position in the OR 2/4... so today is my 4th day of orientation and all the information is sooo overwhelming!! I'm super excited but but super nervous because now it's a whole different ball game.. How did you guys get through your first OR job? How did you find your niche, deal with surgeons and overall just not die from being terrified??? ?

Specializes in OR, Nursing Professional Development.

First of all, please know that OR nursing comes with an incredibly steep learning curve- this is an area you likely got very little (if any) exposure to during nursing school. Generally speaking, it's going to take you at least a year to feel comfortable, possibly even longer. What you are feeling is perfectly normal, and it's probably not a feeling that's going to go away tomorrow or next week or even next month.

Not that I'm biased or anything, but here's a few threads to check out:

Specializes in ICU & NICU.

Checking them out now.. I've come to terms that it may take me 2+ years to become somewhat comfortable... ? Thanks so much for the reply!! ?

Specializes in RN.

Read the latest book by Berry and Kohn’s. That way if someone tries to trick you or bully you, you will know if it is right or wrong. Get your CNOR as soon as possible too.

On 2/16/2019 at 2:22 PM, Windyhill said:

Read the latest book by Berry and Kohn’s. That way if someone tries to trick you or bully you, you will know if it is right or wrong. Get your CNOR as soon as possible too.

I would argue that if you're buying an OR textbook you should "splurge" and spend the money for Alexander's. Berry and Kohn isn't bad but Alexander's is considerably better. MUCH more detail about far more specialty procedures and rationales are better explained.

I would think we can all - one the surface - agree that bullying and tricking our coworkers is wrong. Not that it's not endemic to nursing and perhaps going to be harder to get out of the OR than from floors and ICUs... This goes back to being a good coworker and management being involved.

Regarding CNOR - it is an expense and some people have test anxiety. I won't say I found it easy, but I won't say that it was impossible. While I am extremely pro certification, I think that this is an individual choice you have to make for yourself.

On 2/16/2019 at 1:22 PM, Windyhill said:

Read the latest book by Berry and Kohn’s. That way if someone tries to trick you or bully you, you will know if it is right or wrong. Get your CNOR as soon as possible too.

Is there a jump in pay raise once you get your CNOR? Just wondering, I been an OR nurse now for almost 3 years and I been looking into it.

Specializes in OR, Nursing Professional Development.
On 2/16/2019 at 2:22 PM, Windyhill said:

Read the latest book by Berry and Kohn’s. That way if someone tries to trick you or bully you, you will know if it is right or wrong. Get your CNOR as soon as possible too.

Alexander's is considered the "bible" if you will of OR nursing. If OP is going to spend money out of their pocket, it would be best to go for it instead. Additionally, it is possible that OP's orientation includes PON101 and access to Alexander's. We provide the textbooks at my facility- if that's the case for OP, it would be best not to flush money down the toilet.

As for the bullying comment, I saw nothing in OP's post about bullying, only about being overwhelmed. First, let's not add info in where it doesn't exist, and second, let's not give people a reason to go looking for bullying because they will find it, even if it doesn't truly exist.

Specializes in OR, Nursing Professional Development.
6 hours ago, astralseed said:

Is there a jump in pay raise once you get your CNOR? Just wondering, I been an OR nurse now for almost 3 years and I been looking into it.

100% facility dependent. Some may offer a differential, some may offer nothing at all, some may make it a part of a larger incentive. My facility grants access to the highest level of the clinical ladder for holding both a BSN and a certification.

I have never gotten anything extra for being certified. Some places pay for the exam, some don't.

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